CNE Questions ANSWER
SUBJECT- Care of Sick Newborn
Learn Care of Sick Newborn through important CNE Questions and Answers designed for nurses, nursing students, and healthcare professionals. This educational session covers essential principles of assessment, management, monitoring, and supportive care for sick and vulnerable newborns.
Topics Covered
- Care and assessment of sick newborns
- Newborn danger signs
- Neonatal infection and sepsis
- Respiratory distress in newborns
- Temperature regulation and hypothermia
- Feeding and nutritional support
- Neonatal jaundice
- Low birth weight and preterm newborn care
- Newborn monitoring and vital signs
- Infection prevention and control
- Safe newborn handling and nursing care
- Referral and emergency management
Course Type: CNE Question & Answer
Audience: Nurses, Nursing Students, Staff Nurses & Healthcare Professionals
Subject: Care of Sick Newborn
Format: Online Nursing Education / CNE Questions & Answers
PART 1 – TOTAL 14
QUESTIONS’
Q1-The best milk for most low-birth-weight infants is:
A.
A soya bean formula
B.
Special preterm formula
C.
Breast milk✔️
D.
Standard infant formula
Q2- Which of the following is FALSE regarding
discontinuation of kangaroo mother care?
A.
After newborn is discharged from hospital✔️
B.
After newborn start wriggling out and is
uncomfortable during KMC
C.
After neewborn’s weight is around 2500gms
D.
After newborn’s gestation reaches term
Q3- To measure the required length on nasogastric tube,
measure from the newborn’s
A.
Ear to xiphisternum
B.
Nose to tragus to midpoint of umbilicus
to xiphisternum✔️
C.
Nose to xiphisternum
D.
Angle of jaw to xiphisternum
Q4-Which mothers have higher risk to deliver LBW
newborns?
A.
Primi mothers
B.
HIV positive mothers
C.
Overweight mother✔️
D.
Syphilis positive mothers
Q5- What should be the minimum duration of one session of
KMC?
A.
At least one hour✔️
B.
12 hours
C.
4 hours
D.
24 hours
Q6- What are the eligibility criteria for KMC?
A.
Newborn with gestational age > 38weeks
B.
Newborn with gestational age >37weeks
C.
Newborn with birth weight 2000gms✔️
D.
Newborn with birth weight 2500gms
Q7-The benefits of KMC are all EXCEPT?
A.
Increased Breastfeeding
B.
Thermal control
C.
Cord care✔️
D. Early
discharge
Q8-Injection dexamethasone must be given
to newborns to prevent from complications of prematurity.
A. True✔️
B. False
Q9- What is the dose of syrup multivitamin for newborn?
A.
3ml/day
B.
0.2ml/day
C.
0.3ml/day
D. 1ml/day✔️
Q10- When is a newborn considered low
birth weight?
A. 2500
- 3000gms
B. <
2500gms✔️
C. <
1500gms
D. <1800gms
Q11-A 32 weeks preterm newborn admitted in NBSU after
48hours of delivery. What would be best feeding method for his/her?
A.
Orogastric feeding
B.
Katori-spoon feeding✔️
C.
Breastfeeding
D.
Intravenous fluid
Q12- The fluid volume required by a newborn with weight
1800gms by day 1 is?
A.
80ml/kg
B.
75ml/kg
C.
60ml/kg✔️
D.
90ml/kg
Q13- What is kangaroo mother care?
A.
Continuous and prolonged skin-to-skin
contact with the mother✔️
B.
Carrying the newborn in a bag that is
placed on a caregiver’s stomach
C.
Breastfeeding every two hours for first
four week of life
D.
Place newborn in radiant warmer with warm
cover
Q14- What is the common size of nasogastric tube for
newborn?
A.
4-6 French
B.
5-6 French ✔️
C.
5-10 French
D.
8-10 French
PART 2 – TOTAL 20
QUESTIONS’ FINAL ASSESSMENT
Q1- What is the maximum total dosage of Phenobarbital for
a newborn with?
A.
40 mg/kg✔️
B.
60 mg/kg
C.
100 mg/kg
D.
80 mg/kg
Q2- What should be position of mother during provide KMC to
newborn?
A.
Supine position
B.
Semi- reclining position✔️
C.
Trendelenburg position
D.
Side-line position
Q3- If the newborn’s condition does not improve within 2
days of admission, what should you do?
A.
Change treatment to broader antibiotics,
usually Ceftriaxone 100 mg per kg IV or IM once daily✔️
B.
Stop antibiotic treatment and discharge
for care at home
C.
Administer oral antibiotics instead
D.
Continue same treatment for next three
days
Q4- What is the correct dose and administration of
Phenobarbital?
A.
20 mg/kg/dose, IV✔️
B.
12 mg/kg/dose, IM
C.
24 mg/kg/dose, IM
D.
24 mg/kg/dose, Orally
Q5- How you do to prevent, assess and treat hypothermia?
(More than one answer possible)
A.
Check Temperature below 35.5˚C✔️
B.
place the baby in radiant warmer✔️
C.
give skin to skin contact✔️
D.
by Referring
Q6- The level of Safe Oxygen Saturation to be given to new
born is
A.
above 90 below 95%✔️
B.
above 95 % below 90%
C.
above 85 below 90%
D.
above 90, below 85%
Q7- Steroids are given to preterm newborn to prevent the
complication of prematurity.
A.
True✔️
B.
False
Q8- During Transport of newborn, you should advice to
monitor?
(More than one answer possible)
A.
Blood Glucose
B.
Temperature
C.
Oxygen Saturation
D.
Peripheral Circulation
E.
Dose of antibiotics
Q9- How to prevent respiratory distress in
newborns
A.
By providing Ventilation ✔️
B.
Give the mother antibiotics
C.
Perform a caesarean section
D.
To keep newborn warm
Q10- Apnoea is diagnosed when:
A.
Newborn stop breathing for 5 seconds.
B.
Newborn stop breathing for 15 seconds but
remains pink.
C.
Newborn becomes cyanosed but does not
stop breathing.
D.
Newborn stop breathing for 20 seconds and
develops cyanosis and bradycardia. ✔️
Q11- How frequently should the LBW newborn breastfed to?
A.
Every 2 hours✔️
B.
Every half an hour
C.
Every 3 hours
D.
Every 4 hours
Q12- When corticosteroids are to be given to a woman?
A.
A woman with 24 to 34weeks of gestation
B.
A woman with 24 to 34weeks of gestation
with labour pain✔️
C.
A woman with 28 to 36 weeks of gestation
D.
A woman with 28 to 36 weeks of gestation
with labour pain
Q13- The arms and lower legs are coming under which zone in
Kramer’s criteria?
A.
1st Grade
B.
2nd Grade
C.
3rd Grade
D.
4th Grade✔️
E.
5th Grade
Q14- How to assess level of consciousness in newborn?
A.
By APVU approach
B.
By AVPU approach✔️
C.
By stimulation
D.
By slap on the back
Q15- The approach to be followed in assessment
of new-born are
A.
Radiant Warmer, Emergency Sign and
Diagnostic Sign✔️
B.
Emergency sign, Diagnostic, Radiant
Warmer
C.
Diagnostic, Radiant Warmer, Emergency
Sign
Q16- Which of the following fluids should be used to treat
shock in newborns?
A.
5% dextrose
B.
10% dextrose✔️
C.
Neonatalyte
D.
Normal saline
Q17- Main functions of NBSUs are
A.
provide facility-based care to less sick
new-borns ✔️
B.
to refer the newborn without providing
care
C.
to add total bed capacity in district
D.
provide facility-based care to severely
sick new-borns
Q18- What supplements should a preterm newborn receive?
A.
Ferro Drops 1 ml daily from day 7
B.
Ferro Drops 0.6 ml each day starting when
the infant begins to suck
C.
Multivitamin drops 1 ml daily from 2nd
week of life✔️
D.
Multivitamin drops 0.1 ml with each feed
Q19- Which of the following is not a component of
Kangaroo Mother Care?
A.
Breastfeeding
B.
Supplementary nutrition✔️
C.
Skin to skin care contact
Q20- Which of the following are Bed Side
diagnostics test for newborn?
(More than one answer possible)
A.
Blood Glucose✔️
B.
Oxygen Saturation✔️
C.
Bag and Mask
D.
Radiant Warmer
PART 3 – TOTAL 14
QUESTIONS’ Post Session Case Exam
Q1- The heart rate is 190 bpm and you observe a lethargic,
pale newborn with a capillary refill time above three seconds. What do you do?
(More than one answer possible)
A.
Immediately give the newborn phenobarbital 10 mg
per kg….
B.
Estimate weight and give the newborn 10 ml of
normal saline per kg IV. ✔️
C. You
suspect a severe infection and give antibiotics…✔️
Q2= You stimulate the newborn
immediately followed by suction of the mouth and nose, and then the newborn
starts crying, has Apgar 10 and is responsive. How do you examine and monitor
the newborn afterwards?
A. Airway,
Circulation, Exposure, Disability, Breathing.
B. Temperature,
Airway, Breathing, Circulation…✔️
C. Breathing,
Circulation, Airway, Exposure, Disability.
Q3= During skin-to-skin contact what
danger signs need to be observed by mother or service provider?
(More than one answer possible)
A. Cold
and clammy skin of newborn✔️
B. Respiratory
problems✔️
C. Skin
colour of newborn✔️
D. Ensure
proper positioning of newborn
Q4-Two days have passed, and a nurse
calls you because the newborn has been convulsing for more than three minutes.
What will you do?
(More than one answer possible)
A. You
council the mother on her loss of the newborn
B. Check
blood sugar. If not possible, you assume the newborn has low blood sugar. ✔️
C. Give
20 mg Phenobarbital per kg. ✔️
Q5= Before referring the newborn what
would you do?
(More than one answer possible)
A. Communicate
with other staff
B. Stabilize
the newborn before referral✔️
C. Use
hot water bottle to keep the newborn warm
D. Counsel
the mother on feeding during transport✔️
Q6= Question 1: What would
you suspect?
A. Sepsis
B. Pathological
Jaundice
C. Shock
D. Physiological
Jaundice✔️
Q7- After 3 days you will find the
newborn is stable and ready for discharge, but what criteria should be met
before you discharge the newborn?
(More than one answer possible)
A. Stable
but on Parenteral medications
B. Maintaining
temperature under radiant warmer
C. Gaining
15-20grams/day weight for at least 3 consecutive days✔️
D. Accepting
feeds directly from mother breast✔️
Q8= After 20 hours the mother
spontaneously delivers a baby with normal Apgar score. The baby weighs 2000
grams. Heart rate 180 bpm. Respiratory rate above 60/minute. What to do?
(More than one answer possible)
A. Give
the newborn Ampicillin 50 mg per kg IV/IM twice daily for minimum two days.
B. Give
the newborn Gentamycin 50 mg/kg IV/IM once daily for minimum two days.
C. Initiate
early breastfeeding. If not able to suck provide cup/paladai or orogastric tube
feeding
D. Keep
warm by constant skin-to-skin contact with the mother.
E. Put
the baby in incubator.
Q9- What will you do?
(More than one answer possible)
A. Give
the mother 6 mg Dexamethasone 4 times with 12 hours apart to prevent
respiratory distress in the newborn. ✔️
B. Ask
the mother to go home and return if she gets contractions.
C. Give
one liter of IV fluids running one drop per second.
D. Give
the mother Ampicillin 2g IV every six hours to prevent severe infection in the
newborn. ✔️
Q10- Question 2: After investigation you
will find the serum bilirubin level of the newborn is 15-18mg/dl. What is your
next step?
A. Start
phototherapy as per doctor advice.
B. Observe
the newborn for other complications
C. Sent
him or her home
D. Refer
to higher center for exchange transfusion✔️
Q11- There were no danger signs, and
after 12 hours you discharged the mother and newborn. After two days, the
mother comes back with the newborn and tells you that it is not feeding well
and sleeps a lot. On examination, you notice that the newborn has a free airway
but is breathing very rapidly with cyanosis, chest in-drawings and a
respiratory rate of more than 65.
How do you continue?
(More than one answer possible)
A. You
send the mother home and ask her to come back if the newborn still does not
feed.
B. You
assess other danger signs under TABC
C. You
call for help
D. You
suspect a severe infection and give antibiotics, Ampicillin and Gentamycin
IV/IM.
E. You
keep the newborn warm by skin-to-skin contact to the mother.
F. You
increase feeding frequency to every second hour. If unable to suck, you give
expressed milk 10ml/kg per cup or nasogastric tube.
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